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Reducing Sexual Health Risks and Substance Use in the Prenatal Setting: A Study Protocol for a Randomized Controlled Trial
- Source :
- Contemp Clin Trials
- Publication Year :
- 2019
-
Abstract
- Sexually transmitted infections (STIs) are at a record high in the United States, and STI risk is a critical and costly public health concern for childbearing women. STIs can lead to a number of serious health risks including premature birth, low birth weight, ectopic pregnancy, and fetal death. Similarly, there has been a dramatic increase in substance use during pregnancy, leading to complications during pregnancy and poorer birth outcomes. Women who misuse substances are disproportionately more likely to engage in risky sexual behaviors that can result in STIs. The proposed study will test whether the Health Check-Up for Expectant Moms (HCEM), a computer-delivered brief intervention that simultaneously targets STI risk and alcohol/illicit drug use during pregnancy, reduces antenatal and postpartum risk more than an attention, time, and information matched control condition among pregnant women seeking prenatal care. The study is a two-group, randomized controlled trial in which a diverse sample of 250 pregnant women will be recruited from prenatal care clinics and assigned to either (a) a computer-delivered, single-session brief intervention plus two booster sessions); or (b) a computer-delivered control condition. Follow-up assessments will occur at 2 and 6 months from baseline, and at 6 weeks postpartum. Our objective measures include STI incidence and birth outcomes. The results of this trial will fill a critical gap and provide much-needed data on the efficacy, costs, and resource utilization of a practical computer-delivered, brief motivational intervention tailored to reach high-risk women during pregnancy and extending impact to postpartum.
- Subjects :
- Adult
Safe Sex
medicine.medical_specialty
Adolescent
Substance-Related Disorders
Sexual Behavior
Sexually Transmitted Diseases
Gestational Age
Prenatal care
Health Promotion
Motivational Interviewing
Article
law.invention
03 medical and health sciences
Young Adult
0302 clinical medicine
Risk-Taking
Randomized controlled trial
law
Pregnancy
medicine
Birth Weight
Humans
Pharmacology (medical)
030212 general & internal medicine
Reproductive health
030505 public health
business.industry
Public health
Pregnancy Outcome
Prenatal Care
General Medicine
medicine.disease
Pregnancy Complications
Low birth weight
Socioeconomic Factors
Premature birth
Family medicine
Female
Brief intervention
medicine.symptom
Sexual Health
0305 other medical science
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Contemp Clin Trials
- Accession number :
- edsair.doi.dedup.....1b3db8234d839d4a5a8951faaaca11a3